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N Y State J Med. 1975 Oct;75(12):2168-71.

Performing second-trimester abortions. Rationale for inpatient basis.



Data on abortions performed in New York State (exclusive of New York City) from July 1970-December 1972, were reviewed to determine the number of abortions performed out-of-hospital after the first trimester of pregnancy and their inherent risks. More than 5% of out-of-hospital abortions were done at gestational ages of 90 days-16 weeks. The 2 methods used for second trimester abortions were saline and hysterotomy. The overall maternal mortality rate was about twice as high for abortions done out-of-hospital regardless of the procedure or duration of the pregnancy. For abortions done after 90 days gestation the mortality rate is 5 times greater for abortions done out-of-hospital . The changes in the New York State abortion law requiring second trime ster abortions to be performed in hospitals was based on these data.

[PubMed - indexed for MEDLINE]
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